Adverse maternal outcomes: analysis of the definitions and rates of maternal mortality and maternal near miss: What do the figures tell us?

Padrul M.M., Skryabina V.V., Berseneva S.N.

1 Academician E.A. Vagner Perm State Medical University, Ministry of Health of Russia, Perm 614000, Petropavlovskaya str. 28, Russia; 2 Perm Regional Clinical Hospital, Perm 614000, Kosmonavtov Highway str. 181a, Russia
The paper analyzes the current data of Russian and foreign literature on the definition, epidemiology, structure, and trends in the rates of maternal mortality (MM) and maternal near miss (MNM) in different countries of the world and in the Russian Federation. It also analyzes the current definition of adverse maternal outcome, as well as trends in the global and Russian rates of MM and MNM, their structure and dependence upon social and medical factors. Economically developed countries were found to show a trend towards increased requirements for safe motherhood and an extended concept of adverse maternal outcome. The dynamics of indicators and the analysis of the structure of MD have led to the conclusion that in Russia an emergency obstetric care system has been established and is successfully operating; and there is a need to change priorities: not only to further improve the provision of emergency obstetric care, but also to improve the quality of medical care for reproductive-aged and pregnant women, to shift the focus to the organization of preventive work with the latter, and to improve methods for predicting and preventing the adverse maternal outcomes.

Keywords

maternal mortality
maternal near miss

References

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Received 23.01.2018

Accepted 02.03.2018

About the Authors

Padrul, Mikhail M., MD, professor, head of Department of Obstetrics and Gynecology, Academician E.A. Vagner Perm State Medical University,
Ministry of Health of Russia. 614000, Russia, Perm, Petropavlovskaya str. 28. E-mail: m-padrul@mail.ru
Skryabina, Valeria V., PhD, Associate Professor of the Department of Obstetrics and Gynecology, Academician E.A. Vagner Perm State Medical University,
Ministry of Health of Russia. 614000, Russia, Perm, Petropavlovskaya str. 28. E-mail: skryabina-vv@mail.ru
Berseneva, Svetlana N., obstetrician gynecologist, Perm Regional Clinical Hospital. 614000, Russia, Perm, Kosmonavtov Highway str. 181a. E-mail: bers.s2014@yandex.ru

For citations: Padrul M.M., Skryabina V.V., Berseneva S.N. Adverse maternal outcomes: analysis of the definitions and rates of maternal mortality and maternal near miss: What do the figures tell us? Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (10): 12-9. (in Russian)
https://dx.doi.org/10.18565/aig.2018.10.12-19

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